NPI | 1881067684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA RN073102) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN073102) |
Enumeration Date | 2015-11-03 |
Last Update Date | 2015-11-03 |